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DEPARTMENT OF INSURANCE
Affiliations
Name
Small, Vicki Renee
DOIID
561209
NAIC NPN
7522561
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Life
12/19/2002
12/31/2003
Inactive
Resident
Agent
Health
12/19/2002
12/31/2003
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Assurity Life Insurance Company
301099
Agent - Health
4/30/2003
9/4/2003
Inactive
Assurity Life Insurance Company
301099
Agent - Life
4/30/2003
9/4/2003
Inactive
Genworth Life Insurance Company
300623
Agent - Health
2/22/2003
12/31/2003
Inactive
Genworth Life Insurance Company
300623
Agent - Life
2/22/2003
12/31/2003
Inactive
Liberty Life Insurance Company
301542
Agent - Health
1/10/2003
7/31/2003
Inactive
Liberty Life Insurance Company
301542
Agent - Life
1/10/2003
7/31/2003
Inactive
Principal Life Insurance Company
300129
Agent - Health
2/14/2003
11/13/2003
Inactive
Principal Life Insurance Company
300129
Agent - Life
2/14/2003
11/13/2003
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Medlink Inc
400721
Agent - Health
2/13/2003
12/31/2003
Inactive
Medlink Inc
400721
Agent - Life
2/13/2003
12/31/2003
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